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May 2004

Lacrimal Gland Secretion Mimicking Epiphora

Arch Ophthalmol. 2004;122(5):791. doi:10.1001/archopht.122.5.791-c

I read with interest the case report by McCulley et al1 inthe November 2002 issue of the ARCHIVES. The authors state, "To our knowledge,this is the first reported case of abnormal tear drainage due to lacrimalgland secretion through a lacrimal ductule misdirected to the external eyelid."The condition has already been thoroughly described, including the embryologicorigin of the anomaly. We reported a case in the Journalof Pediatric Ophthalmology and Strabismus2 in1994 and specifically referenced Blanksma and van de Pol's3 descriptionof the tarsal group, which has the orifice near the superior edge of the tarsalplate of the upper eyelid and is always associated with a tuft of lashlikehairs exiting from the orifice.